Registration – Wexford Hillwalking and Mountaineering Club

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* Registration Type
MI Number
* Name
* Address
* Date of Birth

(please use format 31/10/1980)
Phone Number
(note if you wish to receive text notifications, this must be an Irish mobile number)
* Email
* Second Member Name
(Only for couple member applications)
* Second Member Date of Birth

(Only for couple member applications, please use format 31/10/1980)
Second Member Phone Number
(Only for couple member applications. Note if you wish to receive text notifications, this must be an Irish mobile number)
* Second Member Email
(Only for couple member applications)
*
On behalf of the above-named person(s), I acknowledge that hillwalking, climbing and mountaineering are activities with a risk of personal injury or death. I accept these risks and understand that I am responsible for my own actions and participation in Club activities
I agree to the retention of my personal information in Club and Mountaineering Ireland databases.
I wish to receive text and e-mail notifications from the club
I wish to receive the Mountain Log by post (one per household unless individual copies requested).
If you have any queries related to registration, please email us at wexfordhillwalkingclub@gmail.com